脑卒中后肩-手综合征的危险因素分析  

Risk factors of the post-stroke shoulder-hand syndrome

作　　者：张淑云[1] 张通[1] 陈立嘉[1] 卢海涛[1] 

机构地区：[1]中国康复研究中心神经康复科

出　　处：《中华神经科杂志》2004年第1期27-29,共3页Chinese Journal of Neurology

基　　金：国家十五重点课题科研基金资助项目 (2 0 0 1B 0 2 )

摘　　要：目的　探讨脑卒中后肩 手综合征的危险因素 ,为预防其发生提供依据。方法　 2 0 0 1年 8月至 2 0 0 3年 4月期间 ,对病程≤ 3个月的 10 3例脑卒中患者 ,发生肩 手综合征的可能危险因素进行回归分析。结果　肩 手综合征的患病率为 30 1% ,通过Logistic回归分析发现 :肩关节半脱位和年龄是其危险因素。结论　肩 手综合征是卒中后 3个月内一种常见的并发症 ,应针对危险因素 ,早期采取预防措施 ,尽可能减少其发生。Objective To explore the risk factors of shoulder-hand syndrome after first onset of the stroke. Method The likely related factors of the post-stroke shoulder-hand syndrome of 103 patients who suffer from stroke within first 3 months during January 2001 to April 2003 were regressively analyzed. Results The incidence of the post-stroke shoulder-hand syndrome is about 30.1%. The results showed that shoulder subluxtion and age are two independent risk factors. Conclusion Shoulder-hand syndrome is a common complication occurring within 3 months after stroke. It is nesessary for clinicians to pay more attentions to these factors and to take preventive procedure at early stage in order to reduce the incidence as much as possible.

关 键 词：脑卒中 肩-手综合征 预防措施 脑血管疾病 反射性交感神经营养障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]